3 JEJUNOJEJUNAL INTUSSUSCEPTIONS DISCOVER ED AND TREATED UNDER CELIOSCOPY

Jejunojejunal intussesception is infrequent in the adult. A 17 years o ld women presented a right lower quadrant pain since 24 hours. Under c oelioscopy, jejunum was thickened, and hyperrontractible. Three jejuno jejunal intussusceptions were discovered and ensily treated under coel ioscopy. During post-operative days, fibroptic gastroscopy was normal, and the first jejunal segment was normal. Intestinal barium transit s howed a dilated jejunal segment with thickened mucosa. Stools parasito logy was negative. Three months later, patient was admitted with right lower quadrant pain recurrence. Coelioscopy did not show any intussus ception. Appendectomy was undertaken. Histological analysis showed app endiceal oxyuris. The case described is characterised by three concomi tant intussusceptions, the proximal jejunal site of the intussusceptio ns, the site of the pain distant from the intussusceptions, the occurr ence in a young adult, the coelioscopic diagnosis, and the coelioscopi c treatment. Diagnostic coelioscopy with complete exploration of the s mall intestine permit diagnosis and treatment under coelioscopy of jej unojejunal intussusception.